. Text-book of operative surgery . ards the middle line of thehand instead of over the naiddle of the bone or Joint. In disarticulating a finger, with or without its metacarpal bone, the transverseincision foUows exactly the line of the web of the fingers (Fig. 246) : incisions miistnot be made higher np in the palm. In disarticulation of the thumb at the metacarpo-phalangeal Joint, it is importantthat the long tendons should be properly stitched,because the metacarpal of the thumb is movable,and the long extensors (with the abductorpollicis) are the only muscles which oppose theaction of the

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. Text-book of operative surgery . ards the middle line of thehand instead of over the naiddle of the bone or Joint. In disarticulating a finger, with or without its metacarpal bone, the transverseincision foUows exactly the line of the web of the fingers (Fig. 246) : incisions miistnot be made higher np in the palm. In disarticulation of the thumb at the metacarpo-phalangeal Joint, it is importantthat the long tendons should be properly stitched,because the metacarpal of the thumb is movable,and the long extensors (with the abductorpollicis) are the only muscles which oppose theaction of the short flexors in the thenar eminence. \V l\ \ ■■[-{ Duarticulation of the. Thumh {or LittleFinger) along with its Metacarpal. In dis-articulation of the first and fifth digits at thecarpo-metacarpal Joint, the strong muscles whichform the thenar (and hypothenar) eminencemust be preserved intact. As was pointed out Interossei 1and luinbricals. J \ Extensor long, digit. and interossei. Extensor long, digit. Extensor long,

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Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative